胰腺炎补液论文参考文献

目前有很多指南指导治疗胰腺炎，比如ACG2013、AGA2018、IAP2013。. 本文参考最新指南和文献，从流行病学、危险因素、病因学、诊断、危险分层、最新进展等

早期液体复苏是重症急性胰腺炎（SAP）治疗的基石，液体复苏的终点需多途径、多角度评估与把握。SAP早期液体复苏需要综合临床指标、压力指标、容量指标、

胰腺炎的患者已经确诊,就应该给予积极的补液,因为胰腺炎这种疾病是一种渗出性疾病,并且通过补液,可以纠正组织缺氧,也是维持血容量以及水电解质平衡的一项重要措施,在患者起病","subtitleWithAvatar":[{"text":"王东梅 副主任医师 聊城市第二人民医院 三甲 2019-01-20","avatarUrl":"http://gimg3.baidu.com/search/src=https%3A%2F%2Fselfpage-gips.cdn.bcebos.com%2Fcc11549d3e9a10bd4a5db2a341b2413f.jpg%40!img_w120_h120&refer=http%3A%2F%2Fwww.baidu.com&app=2021&size=f16,16&n=0&g=0n&q=100&fmt=auto?sec=1677949200&t=aaab56115c03ff022bbc7bae6b36ca4d"}],"subtitleWithIcon":{"label":{}},"wenkuInfo":{"score":0,"page":""},"newTimeFactorStr":"","tplData":{"footer":{"footnote":{"source":{"img":null,"source":"妙手医生"}}},"groupOrder":3,"ttsInfo":{"0":{"supportTts":true,"ttsSourceType":"default","titleUrl":"https://m.baidu.com/bh/m/detail/vc_2810768833368213078","srcid":1599,"tplName":"se_com_default","ext":"{\"source\":\"oh5\",\"lid\":\"8e06f095000084cc\",\"title\":\"%E8%83%B0%E8%85%BA%E7%82%8E%E8%A1%A5%E6%B6%B2%E8%A1%A5%E4%BB%80%E4%B9%88%E6%B6%B2%E4%BD%93_%E7%8E%8B%E4%B8%9C%E6%A2%85%E5%8C%BB%E7%94%9F%E7%9A%84%E8%AF%AD%E9%9F%B3%E7%A7%91%E6%99%AE_%E5%A6%99%E6%89%8B%E5%8C%BB%E7%94%9F\",\"url\":\"https%3A%2F%2Fm.baidu.com%2Fbh%2Fm%2Fdetail%2Fvc_2810768833368213078\"}","extId":"74e06d9737d390199943304682be2efc","hasTts":true,"ttsId":"74e06d9737d390199943304682be2efc"}},"FactorTime":"1676730780","FactorTimePrecision":"0","LastModTime":"1676730795","LinkFoundTime":"1548335213","NOMIPNEWSITESIGN":"9014542759242416132","NOMIPNEWSUBURLSIGN":"12764502354669017874","PCNEWSITESIGN":"0","PCNEWSUBURLSIGN":"0","PageOriginCodetype":3,"PageOriginCodetypeV2":3,"URLSIGN1":2217919060,"URLSIGN2":3240765341,"WISENEWSITESIGN":"9014542759242416132","WISENEWSUBURLSIGN":"13028903022044140807","isRare":"0","medical_struct_abstract":{"data_type":"4","doctor_hospital":"聊城市第二人民医院","doctor_hospital_level":"三级甲等","doctor_hospital_level_clean":"三甲","doctor_level":"副主任医师","doctor_name":"王东梅","doctor_portrait":"https://selfpage-gips.cdn.bcebos.com/cc11549d3e9a10bd4a5db2a341b2413f.jpg@!img_w120_h120","expert_info":{"expert_id":"300613786","source_expert_id":"9d8e6606eb5a8fe922e4abfe86d28896"},"is_fudan_hosp":"0","time":"2019-01-20","timestamp":1677259249,"title":"胰腺炎补液补什么液体","type":"voice","url":"http://www.miaoshou.net/voice/758293.html","voice_duration":"01:35","voice_format":"http://selfpage-voice.cdn.bcebos.com/https%3A//voice.miaoshoucdn.com/convert/2019-01-19/983fae91ec5f0a92f45b9a3faba8eca1.mp3","abstract":"\u0002胰腺\u0001炎\u0003的\u0001患者\u0001已经\u0001确诊\u0001,\u0001就\u0001应该\u0001给予\u0001积极\u0001的\u0002补液\u0003,\u0001因为\u0002胰腺\u0001炎\u0003这种\u0001疾病\u0001是\u0001一\u0001种\u0001渗出\u0001性\u0001疾病\u0001,\u0001并且\u0001通过\u0002补液\u0003,\u0001可以\u0001纠正\u0001组织\u0001缺氧\u0001,\u0001也是\u0001维持\u0001血\u0001容量\u0001以及\u0001水\u0001电解\u0001质\u0001平衡\u0001的\u0001一项\u0001重要\u0001措施\u0001,\u0001在\u0001患者\u0001起\u0001病\u0001后\u0001,\u0001如果\u0001有\u0001循环\u0001功能\u0001障碍\u0001,\u000124\u0001小时\u0001内\u0001是\u0001液体\u0001复苏\u0001的\u0001黄金\u0001时期\u0001。\u0001 \u0001对于\u0001重","replaced":"胰腺炎的患者已经确诊，就应该给予积极的补液，因为胰腺炎这种疾病是一种渗出性疾病，并且通过补液，可以纠正组织缺氧，也是维持血容量以及水电解质平衡的，一项重要措施，在患者起病后，如果有循环功能障碍，24小时内是液体复苏的黄金时期。对于中症重度急性胰腺炎，在没有大量失血的情况下，补液量应该控制在每天3500毫升到4000毫升之间，具体的液体量是在用晶体进行液体复苏时，注意补充乳酸林格平衡液，避免大量生理盐水的扩容，因为这样会导致绿底子的堆积，缺氧容易治组织中乳酸堆积，代谢性酸中毒比较常见，所以也应该积极补充碳酸氢钠。对于重症的急性胰腺炎的病人，由于大量渗液，蛋白丢失，也应该注意补充白蛋白，这样才能够有效维持脏器的功能。"},"meta_di_info":[],"official_struct_abstract":{"from_flag":"disp_site","office_name":"妙手医生"},"site_region":"1","src_id":"6899_6547","trans_res_list":["medical_struct_abstract","official_struct_abstract"],"ulangtype":1,"ti_qu_related":0.57840785742326,"templateName":"se_st_default","StdStg_new":1599,"wise_search":false,"DispUrl":"m.baidu.com/bh/m/detail/vc_2810768833368213078","is_valid":1,"brief_download":"0","brief_popularity":"0","material_data":{"material_sign1":"3240765341","material_sign2":"2217919060","material_list":[{"key":"nid","value":"0"},{"key":"thread_id","value":"0"}]},"rtset":1547913600,"timeHighlight":1,"cambrian_us_showurl":{"logo":"NULL","title":"妙手医生"},"is_us_showurl":1,"site_sign":"2653758490158471875","url_sign":"13918981155823206996","strategybits":{"OFFICIALPAGE_FLAG":0},"resultData":{"tplData":{"footer":{"footnote":{"source":{"img":null,"source":"妙手医生"}}},"groupOrder":3,"ttsInfo":{"supportTts":true,"ttsSourceType":"default","titleUrl":"https://m.baidu.com/bh/m/detail/vc_2810768833368213078","srcid":1599,"tplName":"se_com_default","ext":"{\"source\":\"oh5\",\"lid\":\"8e06f095000084cc\",\"title\":\"%E8%83%B0%E8%85%BA%E7%82%8E%E8%A1%A5%E6%B6%B2%E8%A1%A5%E4%BB%80%E4%B9%88%E6%B6%B2%E4%BD%93_%E7%8E%8B%E4%B8%9C%E6%A2%85%E5%8C%BB%E7%94%9F%E7%9A%84%E8%AF%AD%E9%9F%B3%E7%A7%91%E6%99%AE_%E5%A6%99%E6%89%8B%E5%8C%BB%E7%94%9F\",\"url\":\"https%3A%2F%2Fm.baidu.com%2Fbh%2Fm%2Fdetail%2Fvc_2810768833368213078\"}","extId":"74e06d9737d390199943304682be2efc"}},"resData":{"tplt":"se_com_default","tpl_sys":"san","env":"pc"},"url_trans_feature":{"antispam_url_ctrl":"0","antispam_chutu_ctrl":"0","struct_cont_sign":"9498456101809099155","struct_simhash":"1544634585311403936","cont_sign":"3063497437","cont_simhash":"12775831056203359480","page_classify_v2":"576460752303423490","m_self_page":"0","m_page_type":"0","rtse_news_site_level":"0","rtse_scs_news_ernie":"-1","rtse_news_sat_ernie":"0","rtse_event_hotness":"0","f_event_score":"0","f_prior_event_hotness":"0","cont_sign_3":"3063497437","struct_cont_sign_3":"0","spam_signal":"504438343040237568","time_stayed":"0","gentime_pgtime":"1547913600","day_away":"1503","ccdb_type":"0","nid":"0","thread_id":"0"}},"strategy":{"tempName_ori":null,"tempName":"se_com_default","type":"result","mapping":null,"tpl_sys":"san","module":"aladdin-san"},"source_name":"妙手医生","posttime":"2019年1月20日","belonging":{"list":"asResult","No":3,"templateName":"se_com_default"},"subtitleWithAvatar":[{"text":"王东梅 副主任医师 聊城市第二人民医院 三甲 2019-01-20","avatarUrl":"http://gimg3.baidu.com/search/src=https%3A%2F%2Fselfpage-gips.cdn.bcebos.com%2Fcc11549d3e9a10bd4a5db2a341b2413f.jpg%40!img_w120_h120&refer=http%3A%2F%2Fwww.baidu.com&app=2021&size=f16,16&n=0&g=0n&q=100&fmt=auto?sec=1677949200&t=aaab56115c03ff022bbc7bae6b36ca4d"}],"classicInfo":{"source":2,"comeFrome":"AS","productType":"","idInSource":3,"urls":{"asUrls":{"weight":20,"urlno":220099,"blockno":11829603,"suburlSign":11829603,"siteSign1":884253211,"mixSignSiteSign":1601492,"mixSignSex":2,"mixSignPol":2,"contSign":3063497437,"matchProp":327687,"strategys":[2,0,256,2,0,0,0,0,0,0,0,0,0,0,1,0]}},"info":262144,"siteSign":"2653758490158471875","urlSign":"13918981155823206996","urlSignHigh32":3240765341,"urlSignLow32":2217919060,"uniUrlSignHigh32":3240765341,"uniUrlSignLow32":2217919060,"siteSignHigh32":617876297,"siteSignLow32":1569888963,"uniSiteSignHigh32":884253211,"uniSiteSignLow32":1601492,"docType":-1,"disp_place_name":"","timeShow":"2023-2-18","resDbInfo":"grid-med-vip_63","pageTypeIndex":4,"dispExt":null,"bdDebugInfo":"url_no=220099,weight=20,url_s=11829603, bl:0, bs:5, name:,
sex:2,pol:2,stsign:884253211:1601492,ctsign:3063497437,ccdb_type:0","authWeight":"262148-33603584-275968-0-0","timeFactor":"20593-1677280042-1676730795","pageType":"8192-16777216-65536-0-0","field":"861536044-124232952-2974604968-187845953-3928304872","clickWeight":0,"pers_dnn_weight":0,"langtype_v2":1,"gSampleLog":null,"isConvCode":1,"authorOfficialIcon":0,"sortInfo":{"srcid":0,"from":1,"weight":20,"index":3,"sort":4,"degree":0,"refresh":0,"stdstg":0,"stdstl":0,"trace":-1,"multiPic":0,"uniUrl":"http://www.miaoshou.net/voice/758293.html","stra":0,"status":0,"daIdx":-1,"dispPlace":3,"serverId":0,"subClass":0,"siteUrl":0,"entityType":0,"zhixinVer":0,"zhixinID":0,"zhixinPos":0,"zhixinCBN":0,"zhixinNess":0,"zhixinNoC":0},"score_level":0,"click_url_sign":0,"click_tuichang":0,"time_click_weight":-1,"general_click_weight":-1,"business_personal_click_weight":-1,"local_personal_click_weight":-1,"personal_click_weight":[0,0,0],"personal_eoff":[0,0,0],"need_click_adjust":true,"url_zdzx_on":0,"url_zdzx_tc":0,"click_pred_pos":0,"uap_signed_key_for_query_url":0,"uap_signed_key_for_site":0,"uap_signed_key_for_url":0,"show_url":"https://m.baidu.com/bh/m/detail/vc_2810768833368213078","show_url_type":-1,"show_url_miptype":0,"di_version":"7205247130171080673","url_trans_feature":{"antispam_url_ctrl":"0","antispam_chutu_ctrl":"0","struct_cont_sign":"9498456101809099155","struct_simhash":"1544634585311403936","cont_sign":"3063497437","cont_simhash":"12775831056203359480","page_classify_v2":"576460752303423490","m_self_page":"0","m_page_type":"0","rtse_news_site_level":"0","rtse_scs_news_ernie":"-1","rtse_news_sat_ernie":"0","rtse_event_hotness":"0","f_event_score":"0","f_prior_event_hotness":"0","cont_sign_3":"3063497437","struct_cont_sign_3":"0","spam_signal":"504438343040237568","time_stayed":"0","gentime_pgtime":"1547913600","day_away":"1503","ccdb_type":"0","nid":"0","thread_id":"0"},"final_queue_index":3,"isSelected":0,"isMask":0,"maskReason":0,"index":3,"isClAs":0,"isClusterAs":0,"click_orig_pos":3,"click_obj_pos":0,"click_no_adjust":false,"click_auto_hold":false,"click_force_pos":false,"click_time_ratio":-1,"click_auto_hold_orig":false,"idea_pos":0,"clk_pos_info":{"merge_index":3,"merge_as_index":3},"click_weight":-1,"click_weight_orig":-1,"click_time_weight":-1,"click_time_level":0,"history_url_click":0,"click_weight_merged_time":-1,"click_weight_merged_pers":-1,"click_weight_merge":-1,"cstra":0,"burstFlag":0,"encryptionClick":"NsKDV6XZ9q3CUC633Nd-NpB0eSB2EAJ99tnbee8gNeJ_RIiEe1fRAz4W-wsnQgIpkQ0unQ4T-YgCfh-7TckpUllmBQvzYiwTwow-vfsPbWSqZ_G00EVh5T5OIUSAvKLa","strategyStr":["77A717E8","9D73F1E4","4CA6DE6A","54E5243D"],"identifyStr":"BDE7EDB7","snapshootKey":"m=ckF-hG2VjydlfPrwf4tC-rfw6Ms5AT_W-voUi4uqsjlV5A8ARr-gvuiqsuA_HOxDCgrwbwPSmgqvBsZB7VNEcUhTqwvNmb2SLFJZvuKSnxS&p=ce769a47ba851bfb10bd9b795f&newp=882a920285cc43f643f3d2231c53d833590fd67c6380860a3b8fd12597654f171c0ba7ec67634b598fca796703a8495aeff33770340623b591ca8c4fdcafd4456edf653b2740d006&s=cfcd208495d565ef","title":"\u0002胰腺\u0001炎\u0001补液\u0003补\u0001什么\u0001液体\u0001_\u0001王东梅\u0001医生\u0001的\u0001语音\u0001科普\u0001_\u0001妙手\u0001医生\u0001","url":"https://www.miaoshou.net/voice/758293.html","urlDisplay":"https://www.miaoshou.net/voice/758293.html","urlEncoded":"https://m.baidu.com/bh/m/detail/vc_2810768833368213078","lastModified":"2023-2-18","size":"56","code":" ","summary":"\u0002胰腺\u0001炎\u0003的\u0001患者\u0001已经\u0001确诊\u0001,\u0001就\u0001应该\u0001给予\u0001积极\u0001的\u0002补液\u0003,\u0001因为\u0002胰腺\u0001炎\u0003这种\u0001疾病\u0001是\u0001一\u0001种\u0001渗出\u0001性\u0001疾病\u0001,\u0001并且\u0001通过\u0002补液\u0003,\u0001可以\u0001纠正\u0001组织\u0001缺氧\u0001,\u0001也是\u0001维持\u0001血\u0001容量\u0001以及\u0001水\u0001电解\u0001质\u0001平衡\u0001的\u0001一项\u0001重要\u0001措施\u0001,\u0001在\u0001患者\u0001起\u0001病\u0001后\u0001,\u0001如果\u0001有\u0001循环\u0001功能\u0001障碍\u0001,\u000124\u0001小时\u0001内\u0001是\u0001液体\u0001复苏\u0001的\u0001黄金\u0001时期\u0001。\u0001 \u0001对于\u0001重","ppRaw":"","view":{"title":"胰腺炎补液补什么液体_王东梅医生的语音科普_妙手医生"}},"comm_sup_summary":"","templateData":{}},"subLinkArray":[],"searchUrl":"","normalGallery":[],"summaryList":[],"titleLabelProps":{},"frontIcon":{},"suntitleTranslateUrl":"","ttsInfo":{"0":{"supportTts":true,"ttsSourceType":"default","titleUrl":"https://m.baidu.com/bh/m/detail/vc_2810768833368213078","srcid":1599,"tplName":"se_com_default","ext":"{\"source\":\"oh5\",\"lid\":\"8e06f095000084cc\",\"title\":\"%E8%83%B0%E8%85%BA%E7%82%8E%E8%A1%A5%E6%B6%B2%E8%A1%A5%E4%BB%80%E4%B9%88%E6%B6%B2%E4%BD%93_%E7%8E%8B%E4%B8%9C%E6%A2%85%E5%8C%BB%E7%94%9F%E7%9A%84%E8%AF%AD%E9%9F%B3%E7%A7%91%E6%99%AE_%E5%A6%99%E6%89%8B%E5%8C%BB%E7%94%9F\",\"url\":\"https%3A%2F%2Fm.baidu.com%2Fbh%2Fm%2Fdetail%2Fvc_2810768833368213078\"}","extId":"74e06d9737d390199943304682be2efc","hasTts":true,"ttsId":"74e06d9737d390199943304682be2efc"}},"showNewSafeIcon":false,"codeCoverAry":[],"$style":{"sitelink_summary":"sitelink_summary_3VdXX","sitelinkSummary":"sitelink_summary_3VdXX","sitelink_summary_last":"sitelink_summary_last_T63lC","sitelinkSummaryLast":"sitelink_summary_last_T63lC"},"extQuery":"","kbShowStyle":"","kbUrl":"","kbFrom":"","showUrl":"","toolsId":"","toolsTitle":"","robotsUrl":"","col":"24","urlSign":"","test":0

3. 尽管早期目标导向性补液疗法常出现在急性胰腺炎的文献中,但是数据无价 值或质量较差,推荐率和补液类型也不明确。 4. 对于急性重症胰腺炎,补液疗法通常在起初 24 h 内要输

急性胰腺炎患者的临床护理毕业论文（设计）.doc,584476383原创作品,原创力文档版权提供，违者必究，急性胰腺炎患者的临床护理 摘要：目的：探讨临床护理的

尽管早期目标导向性补液疗法常出现在急性胰腺炎的文献中，但是数据无价值或质量较差，推荐率和补液类型也不明确。4. 对于急性重症胰腺炎，补液疗法通常在

急性胰腺炎护理参考文献. 来源：学术堂 作者：蒋老师. 发布于：2017-06-22 共8685字. 急性胰腺炎会引起胰腺组织自身消化、水肿等现象，如果不进行及时有效护

2.3 静脉补液 麻醉后对白虎进行静脉补液1次,药物为0.9%NaCl+头孢他啶+地塞米松、0.9%NaCl+清开灵注射液、5%葡萄糖+ATP+辅酶A+肌酐+VC、5%葡萄糖+复合维生素B。

SCI论文(www.scipaper.net): 摘要:目的探讨对1例重症急性胰腺炎合并糖尿病患者的护理体会。方法实施病情观察、补液护理、有效控制血糖、腹痛、腹胀护理、肠内营养护理、导管护理、

结论 对急性胰腺炎行早期液体治疗,尤其是行液体负平衡治疗能有效地预防急性 胰腺炎病情进一步加重,即使对重症胰腺炎也能减少并发症,降低死亡率,改善预后。 【